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Re: Early Mammographic SurveillanceFrom: art fougner, md (evsono@pipeline.com)Tue Apr 22 10:06:30 1997
At Mon, 21 Apr 1997, Michael J. Wolpmann, M.D. wrote: > >Any recomendations from the list on what you are doing for patients with >strong family history of breast ca? >Had 25 y/o whose mother died at age 51 from bilateral inflammatory >breast ca. No ovarian/colon ca in family. >Would like to move screening mammogram up to now, begin bi-annual >mammograms at 30, annuals at 40. SBE is a given. > >Obviously aggressive, but so was her mom's breast ca and she is very >anxious, as we all would be. > >Thanks. > >-- >michael > >michael joseph wolpmann, m.d. hi! might wonder about brca-1 status if pos would substantially alter risk and follow-up. here's one suggestion in a rapidly evolving field - OncorMed Slide Presentation RECOMMENDTIONS FOR CLINICAL MANAGEMENT OF BRCA1 MUTATION CARRIERS Clinical breast examination and mammography every 6 to 12 months, beginning between 25 and 35 years Counseling regarding prophylactic mastectomy Pelvic examination with transvaginal ultrasound every 6 to 12 months for women under age 40 and/or still interested in childbearing Counseling regarding prophylactic oophorectomy at the completion of childbearing or at menopause Avoid use of exogenous estrogens when possible Source: Hoskins, et. al. , JAMA 273(7):577-583, 1995. good luck :)
>
-- art fougner, md SonoScan/Genetic Sciences forest hills, ny evsono@pipeline.com
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